6K6-64907-87335

5 vaccinations 6 coded responses 40 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 937 / CA
Registered: 2021-01-25

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-25
Registered in v-safe
2021-01-25
Survey response — day 7, dose 1
MedDRA: Headache, Injection site pain — Feeling: Good · Site: Pain · Headache

Free text: When I got shot, arm was sore for 2-3 days. Slight headache on 2nd day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Office visit, Peripheral swelling, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Forgot to mention I had a bruise on my arm prior to getting the 2nd shot which the health care provider noticed & mentioned I should monitor it. It is still purplish in color (not turning yellow yet). Unfortunately, my trunk dropped on same arm tonight so that area now has a small bump under the skin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion — Feeling: Fair · Muscle or body aches

Free text: New bruise on shoulder of right arm (not sure if car trunk hit the top of my shoulder (seems like it would've shown up as a line, not a round bruise)? Lower bruise above elbow still there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-03
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-30
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-02
Survey response — days 1–6 daily, dose 5
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Itching not at injection site but on same arm.

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Fair

Free text: No symptoms for 10/3/22 also.

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · None

Adult check-in
2022-10-09
Health check-in — day 7, dose 5
Feeling: Fair · None

Adult check-in
2022-10-14
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-21
Survey response — day 21, dose 5
MedDRA: Back pain, Musculoskeletal chest pain, Office visit, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Last night, had mid-back/rib pain (not covid related). Shoulders & hips were out of alignment also. · Healthcare visit (other): Went to chiropractor today to get adjusted.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — day 21, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-04
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-12
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No
5	2022-09-30	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-25

Systemic reaction (other): When I got shot, arm was sore for 2-3 days. Slight headache on 2nd day.

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Forgot to mention I had a bruise on my arm prior to getting the 2nd shot which the health care provider noticed & mentioned I should monitor it. It is still purplish in color (not turning yellow yet). Unfortunately, my trunk dropped on same arm tonight so that area now has a small bump under the skin.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): New bruise on shoulder of right arm (not sure if car trunk hit the top of my shoulder (seems like it would've shown up as a line, not a round bruise)? Lower bruise above elbow still there.

Release 12 — days 1–6 daily, dose 5

2022-10-02

Systemic reaction (other): Itching not at injection site but on same arm.

2022-10-04

Systemic reaction (other): No symptoms for 10/3/22 also.

Release 12 — day 21, dose 5

2022-10-21

Symptoms: Last night, had mid-back/rib pain (not covid related). Shoulders & hips were out of alignment also.

Healthcare visit (other): Went to chiropractor today to get adjusted.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	·	·	✓
SD	Back pain	·	·	✓
SD	Musculoskeletal chest pain	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Office visit	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release